Quarterly Services Indicators Survey

Quarterly Services Indicators Survey
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A. General Information

Purpose

The Quarterly Industry Revenue Indices (QIRI) measure the rate of change in operating revenues for selected industries in the business and consumer services sector.

Confidentiality

Statistics Canada is prohibited by law from publishing any statistics which
would divulge information relating to any identifiable business without
the previous written consent of the business. The data reported on this
questionnaire will be treated in strict confidence, used for statistical
purposes and published in aggregate form only. The confidentiality
provisions of the Statistics Act are not affected by either the Access to
Information Act or any other Legislation.

Data-sharing agreements

To reduce respondent burden, Statistics Canada has entered into data
sharing agreements with provincial and territorial statistical agencies,
which must keep the data confidential and use them only for statistical
purposes. Shared data will be limited to business establishments located
within the jurisdiction of the respective province or territory. Section 11 of
the Statistics Act provides for the sharing of information with provincial and
territorial statistical agencies that have the legislative authority to collect the
same information, on a mandatory basis, and their legislation must provide
substantially the same provisions for confidentiality and penalties for
disclosure of confidential information as the Statistics Act. For this survey,
Section 11 agreements exist with the statistical agencies of Newfoundland
and Labrador, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba,
Saskatchewan, Alberta, British Columbia, and the Yukon. Section 12 of the
Statistics Act provides for the sharing of information with federal, provincial
or territorial government organizations. For this survey, Section 12
agreements exist with the statistical agencies of Prince Edward Island, the
Northwest Territories and Nunavut. Under Section 12, you may refuse to
share your information with any of these organizations by writing a letter
of objection to the Chief Statistician and returning it with the completed
questionnaire. Please specify the organizations with which you do not want
to share your data.

Record linkage

To enhance the data from this survey, Statistics Canada may combine
it with information from other surveys or from administrative sources.

Security of emails and faxes

Statistics Canada advises you that there could be a risk of disclosure during
the facsimile or other electronic transmission. However, upon receipt,
Statistics Canada will provide the guaranteed level of protection afforded
all information collected under the authority of the Statistics Act.

B. Certification

I certify that the information contained herein is complete and correct to the best of my knowledge.

  • 0014: Title
  • 0015: Date YYYY MM DD
  • 0013: First name
  • 0054: Last name
  • 0026: Mr. Mrs. Miss Ms.
  • 0018: Email address:
  • 0020: Company's Home Web page address (URL)
  • 0017: Telephone number:
  • 0027: Extension:
  • 0016: Fax number:

C. Coverage

This survey collects information on business units with the business activity described below:
(A Business Unit is the lowest level of the firm for which separate records are kept for such details as revenues, expenses, and employment.)
If you do not have a business unit in the industry indicated above, please describe the nature of your firm's business activity:

D. Revenue

Quarterly revenues Canadian dollars (dollars only)

  • 1010: 1. Newfoundland and Labrador
  • 1011: 2. Prince Edward Island
  • 1012: 3. Nova Scotia
  • 1013: 4. New Brunswick
  • 1024: 5. Quebec
  • 1035: 6. Ontario
  • 1046: 7. Manitoba
  • 1047: 8. Saskatchewan
  • 1048: 9. Alberta
  • 1059: 10. British Columbia
  • 1060: 11. Yukon
  • 1061: 12. Northwest Territories
  • 1062: 13. Nunavut
  • 1099: 14. Canada (sum of 1 to 13)

Factors causing significant changes in the reported data compared to the previous quarter
Please identify all that apply:

  • 1: No significant changes
  • 2: Seasonal operations
  • 3: Temporarily inactive
  • 4: Ceased operations
  • 5: Change of ownership
  • 6: Economic conditions (please elaborate):

E. Comments

Date modified: